IndividualActive
Brian Vanhatten, PT, OCS
NPI 1336334531 · Physical Therapist · Jackson, WY
Provider details
- NPI number
- 1336334531
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, OCS
- Sex
- Male
- Sole proprietor
- No
- License
- 325 (WY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
970 W Broadway
Jackson, WY 83001-9475
Phone: (307) 733-7173
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 9163
Jackson, WY 83002-9163
Registry dates
- Enumerated
- 2007-09-11
- Last updated
- 2007-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.